Med Surg Tele

ED Holding Support RN – Night Shift

Position Overview

The facility is seeking an experienced Med Surg Tele RN for its ED Holding unit—a fast-paced inpatient holding area within the Emergency Department. This role supports adult patients waiting for inpatient bed placement, managing a diverse range of medical and surgical diagnoses at varying acuity levels, including PCU-level patients.

Shift & Schedule

• Night shift: 7:00 PM – 7:00 AM, 3x12-hour per week
• Every other weekend required
• Contract duration: 13 weeks (start date September 21, 2026)
• RTO: Up to 7 days pre-approved (no holidays); must work 2 of 3 major holidays

Key Responsibilities

• Provide comprehensive care to adult medical/surgical patients in an ED holding environment
• Monitor cardiac rhythms and vital signs; interpret dysrhythmias and respond to changes
• Manage airway support (HFNC, CPAP/BiPAP, non-invasive ventilation, tracheostomy care)
• Administer blood products, IV medications (heparin, insulin protocols), and manage complex lines (PICC, central, ports)
• Care for patients with renal failure, post-op trauma, spinal cord injury, TBI, and post-neuro/orthopedic surgery
• Manage feeding tubes, chest tubes, colostomy care, and wound management
• Float to ED and Med/Surg areas as needed
• Collaborate with interdisciplinary teams (respiratory, rapid response, pharmacy, social services)

Required Qualifications

• Active RN license (state or compact)
• 2+ years Med Surg Tele experience (travel experience required)
• BLS and ACLS certification
• EKG interpretation competency (must pass EKG testing prior to start)
• Telemetry monitoring (on-unit and remote)

Patient Ratios

• MS/Tele: 1:6–1:7
• PCU-level: 1:3–1:4

Unit Details

• Navy scrubs
• 12-hour orientation
• Flu vaccine required (medical/religious exemptions only)
• Float flexibility required